{"ops":[{"insert":"A 57 year old man presents with excessive daytime sleepiness and constant exhaustion. While present for several years, these symptoms have worsened in the last few months. He also snores significantly, disturbing his wife\u0027s sleep. There are no symptoms suggestive of psychiatric or psychological issues.\n\nHe was diagnosed with hypertension one year ago, which is well controlled with Ramipril. He works for around 40 hours per week as a manager. The work does not involve nighttime shifts.\n\nAssessment with the Epworth Sleepiness Scale gives a score of 10.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-198_en.png"}},{"insert":"\n"}]}